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Hoots : Can the active release technique help prevent or treat tendon injuries? Can the active release technique help prevent or treat tendon injuries? I have read some pilot studies with small samples sizes (see below), I wonder - freshhoot.com

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Can the active release technique help prevent or treat tendon injuries?
Can the active release technique help prevent or treat tendon injuries?

I have read some pilot studies with small samples sizes (see below), I wonder whether there are more extensive studies, ideally RCTs or SRs.

{1} George, James W., Andrew C. Tunstall, Rodger E. Tepe, and Clayton D. Skaggs. "The effects of active release technique on hamstring flexibility: a pilot study." Journal of manipulative and physiological therapeutics 29, no. 3 (2006): 224-227. www.ncbi.nlm.nih.gov/pubmed/16584948 ;https://scholar.google.com/scholar?cluster=1297471980492189395&hl=en&as_sdt=0,22 ; www.sciencedirect.com/science/article/pii/S0161475406000376

OBJECTIVE: The aim of this study is to determine if active release
technique (ART) significantly increases hamstring flexibility in
healthy male participants.

METHODS: Twenty physically active male participants with no current or
previous history of lower extremity injury received ART on the origins
and insertions of the hamstrings and dorsal sacral ligament. The
sit-and-reach test was used before and after treatment to determine
hamstring flexibility. Summary statistics were calculated, and pre and
post hamstring flexibility scores were compared using a related
samples t test.

RESULTS: There was a significant difference between the pre- and
posttest groups (mean pre = 35.5 cm, df = 19, SD = 7.56; mean post =
48.3 cm, df = 19, SD = 7.07; P = .0015). All 20 participants increased their sit-and-reach scores following the application of ART.

CONCLUSIONS: This study demonstrated that a single ART treatment
increased hamstring flexibility in a group of healthy, active male
participants.

{2} Drover, Janice M., Dominique R. Forand, and Walter Herzog. "Influence of active release technique on quadriceps inhibition and strength: a pilot study." Journal of manipulative and physiological therapeutics 27, no. 6 (2004): 408-413. www.ncbi.nlm.nih.gov/pubmed/15319764 ; scholar.google.com/scholar?cluster=7686360738794548562&hl=en&as_sdt=0,22 ; www.sciencedirect.com/science/article/pii/S0161475404001010

Objective

To determine if Active Release Technique (ART) protocols could be used
as an effective way to influence strength and muscle inhibition in the
quadriceps muscles of athletes with anterior knee pain.

Design

Pilot clinical outcome study.

Methods

The sample consisted of 9 athletes (4 male athletes, 5 female
athletes) who were identified as suffering from unilateral anterior
knee pain. A Biodex dynamometer and the interpolated twitch technique
were used to determine isometric strength and inhibition in the
quadriceps muscles, respectively. The treatment intervention consisted
of the Active Release Technique treatment protocols for anterior knee
pain. The experimental leg and contralateral leg were tested
pretreatment and posttreatment, and the experimental leg was tested a
third time approximately 20 minutes posttreatment.

Results

Knee extensor moments were calculated by multiplying the moment arm by
the forces measured by the Biodex dynamometer. Percentage of muscle
inhibition was calculated by dividing the interpolated twitch torque
(ITT) by the resting twitch torque (RTT), that is (ITT/RTT*100). A
repeated measures analysis of variance (ANOVA) was used to compare
pretreatment and posttreatment values for strength and muscle
inhibition for the experimental and contralateral knees. The results
showed no statistical significance.

Conclusion

ART protocols did not reduce inhibition or increase strength in the quadriceps muscles of athletes with anterior knee pain. Further
study is required.


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